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Severe headache for last 36 hrs
I’m 18 and I’ve had a headache for around 36 hours. It started mild before sleep but became much more severe after waking up.
The pain is across my whole head, more in the front/top. When I stay still it’s around 2/10, but even slight movement suddenly makes it extremely painful (up to 10/10) for 10–15 seconds with throbbing/pulsating pain. Light and sound also worsen it.
No fever, vomiting, weakness, confusion, vision loss, or trouble speaking. I’ve been very stressed lately, sleeping poorly, and spending long hours on screens. Paracetamol helps temporarily. This is the first headache this severe I’ve had.
What should I do?
Answers (35)
If you are experiencing these symptoms, it may be a Migraine. The possible causes include stress, anxiety, lack of sleep, dehydration, and increased sensitivity of the brain to triggers. You should visit our clinic so we can take a detailed history, examine you properly, and advise appropriate medication and necessary investigations
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Looks like migraine / stress headache.
Take rest in dark room, avoid screen, stay hydrated.
You can take paracetamol or ibuprofen if needed.
If severe, recurrent, or any vomiting/vision issues → see doctor.
You can consult me, I’ll guide proper treatment.
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The symptoms as you are mentioning point towards either tension type headache or migraine.. more likely migraine though
1st line is paracetamol as you are telling..
If u don’t get relieved u can try the medicine headset(combination of sumatriptan+naproxen) sos when u have extreme headache.
Please also get an eye examination done for power ..
Reduce your screen time atleast you should use a blue light screen to protect your eyes
You should stop using your phone atleast 2 hours before going to sleep
Drink plenty of water
Meditation helps
I am a certified md medicine specialist . Happy to help
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Review after 7 days
Avoid loud noise and bright lighting as much as possible
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Your symptoms are suggestive of a migraine-type headache, likely triggered by stress, lack of sleep, and prolonged screen use.
The throbbing nature of pain, worsening with movement, and sensitivity to light and sound are typical features. It is reassuring that there are no warning signs like fever, vomiting, or neurological symptoms.
If the pain does not improve, do consult me in practo for further management.
Next Steps
For relief:
Take paracetamol or ibuprofen (after food)
Rest in a quiet, dark room
Maintain good hydration
Avoid screen exposure and try to get adequate sleep
Health Tips
Please seek immediate medical attention if you develop severe persistent vomiting, fever, neck stiffness, visual disturbances, weakness, or if the headache becomes suddenly the worst ever.
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Seems like migraine.
Take tab Ultracet one every 8hours for 3 days.
Tab beplex forte one daily for 30 days.
Avoid long time on screen, lie down quietly in a dark room.
Get eyes checked for any refractive error, c.t. scan brain to exclude any sinister underlying cause for headache.
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Looks like a migraine type headache, triggered by stress, poor sleep, and screen strain nothing alarming from what you’ve described. Try resting in a dark room, stay well hydrated.
If it’s not settling or keeps recurring, I’ll guide you step by step with the right meds and prevention plan book a quick consult 👍
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Hi
As you describe the symptoms its more likely to be Migraine . Start medication and take some precautions
Take plenty of fluids, avoid sun exposure spicy food and adequate sleep
Next Steps
Capsule Rabeprazole DSR in morning before meal
Tab Naproxen 500 mg bd
Health Tips
Check your BP
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It's most probably migraine headache with aura. There are too many causes for migraine. May be it cause of light or hungry or streesed or lack sleep. You should use eyewear for eye protection. If you have headache took 1 paracetamol.
Next Steps
try these for 2 days- Need better sleep and on time food habits. If it's not reduced, better consult a doctor
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